Vocal Cord Nodule

A vocal cord nodule or node (singer's or screamer's nodule) is a mass of tissue that grows on the vocal cords. Typically this mass will appear on the junction of the anterior and middle two-thirds of the vocal fold, where contact is most forceful. It is very similar to a callus on your hand. The symptoms include hoarseness, painful speech production, frequent vocal breaks and reduced vocal range. Vocal fold nodules develop most commonly in children and adult females.

The nodules appear as symmetrical swellings on both sides of the vocal cords. The cause of these formations is usually strenuous or abusive voice practices such as yelling and coughing. Persons who are often susceptible are those who are heavy voice users, often in loud environments. Examples include teachers, cheerleaders, politicians, actors, preachers, singers, and military drill instructors.